Royal Oaks Manor-Bradbury Oaks
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 37 Google reviews

Watch Royal Oaks Manor-Bradbury Oaks
Get an email when new inspections, ratings, or penalties are published for this facility.
We’ll only email you about this — no spam, unsubscribe anytime.
What this means for your family
This facility is an excellent choice for seniors seeking a beautiful, socially active environment with high-quality amenities. However, families should closely monitor the quality of dining and be prepared to advocate for consistent care standards, as some long-term residents have noted a decline in food and service since recent management changes.
Google Reviews
Google Reviews
37 reviews on Google“Royal Oaks is highly regarded for its beautiful, serene campus and its vibrant social community, with many long-term residents praising the sense of belonging. While many families find the staff kind and attentive, there are notable concerns regarding a decline in service quality and food standards following management changes.”
Quality Themes
Tap a score for detailsStrengths
- Beautiful, serene campus grounds
- Engaged and social community atmosphere
- Welcoming and friendly front-line staff
- Excellent amenities and amenities
Concerns
- Decline in food quality and dining standards (mentioned by 2 reviewers)
- Decline in overall service quality following management changes (mentioned by 2 reviewers)
- Unprofessional behavior by specific nursing staff
Rating Trends
Tap a year to see what changed
Distribution · 82 analyzed
How They Respond to Reviews
The owner provides personalized responses that frequently reference the reviewer's name and specific details from their feedback. For negative or critical reviews, they use a consistent professional template that directs the reviewer to the Executive Director for direct resolution.
Questions for Your Tour
- 1The campus grounds look so beautiful and serene; what kind of outdoor activities or strolls are available for residents to enjoy the scenery?
- 2I noticed the management is very responsive to feedback; how does the leadership team work with families to address any changes in service or care quality?
- 3Could you tell me a bit more about the current dining program and how you ensure meal quality and variety remain consistent for everyone?
- 4What is the protocol for handling medical emergencies or urgent care needs during the overnight hours?
- 5How do the staff members foster that social, engaged community atmosphere that people often mention when visiting?
- 6With the recent changes in management, what steps are being taken to ensure communication between the nursing staff and family members remains clear and frequent?
Personalized based on this facility's data
Key Review Excerpts
“Royal Oaks has a stunning campus of 15+ acres with California Live Oak trees and horses grazing across the road! Beautiful facilities! Friendly and interesting people with whom we've become close in just a couple of years!”
“One of the first things I notice when entering the building is that it doesn’t have the ‘smell’ that I’ve encountered in so many facilities like this. It is beautifully appointed, landscaped well and the overall physical aspect of the facility is very pleasant.”
“My parents moved into RO in 2021, and have had some health issues in the last year that have required me to have quite a bit of interaction with the Royal Oaks and Bradbury Oaks staff. I have found every individual working there to be extremely kind, attentive, and considerate.”
Staffing
Staffing Hours
per resident/day · Medicare 2026RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
6
measures
9
measures
2
measures
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has a concerning pattern with families filing complaints that led to 6 deficiency findings, indicating ongoing care issues that prompted external reports. The most recurring problems involve medication management, accident prevention and safety, and treatment and care delivery according to resident needs. While all deficiencies show correction dates, the persistence of similar issues across multiple surveys—particularly safety hazards and medication errors—suggests systemic challenges that families should carefully evaluate during visits.
Jan 2, 2026Routine9
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Dec 1, 2025Complaint2
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Nov 15, 2024Routine18
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Oct 5, 2024Complaint1
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
May 10, 2024Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Apr 15, 2024Complaint1
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Federal Penalties
Payment Denial
Apr 15, 2024
15-day denial
Ownership & Operations
Who Operates This Facility
Royal Oaks Manor-Bradbury Oaks
nonprofit
Chain Affiliation
Humangood
17 facilities nationwide
Chain avg rating: 4.3/5 · Rank 16 of 17
Ownership & Management
Owners
Humangood Socal
Owner · Organization
Humangood
Owner (parent company) · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
37 reviews from families & visitors
Official Website
Visit humangood.org
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
Nearby Alternatives
Royal Terrace Healthcare
< 1 miNursing Home · Duarte, CA
Monrovia Post Acute
< 1 miNursing Home · Duarte, CA
Community Care Center
2.0 miNursing Home · Duarte, CA
Harvard Creek Post Acute
5.6 miNursing Home · Covina, CA
Springville
5.6 miAssisted Living · Baldwin Park, CA
The British Home in California Ltd
5.7 miContinuing Care · Sierra Madre, CA